1022` Ate• � - _ .
NOTE:,
+. With proper'validation
this form constitutes an '
' encroachment permit
4
CITY OF LA QUINTA '
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the • construction of public or "private curbs, driveways, pavements, sidewalks, parking lots, sewers,' water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit - Class 111
DATE: -2-28-91 Minot Improvement Permit Class IV
u LOCATION,OF CONSTRUCTION 54-190 anti' 54-2.00 RAMTR>+7
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION, DRIVEWAY APPROACH Sketch (attach construction plans if appropriate),'"
DESCRIPTION OF CONSTRUCTION attach is a Copy of Riverside,
County standard no.' 207
DIMENSION OF INSTALLATION OR REMOVAL
- ' W - concrete driveway approach +_ #
SIZE OF EXCAVATION,.IF NEEDED
` APPROXIMATE TIME WHEN WORK WILL BEGIN -f--27-91
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
-.(Including removal of all obstruction, materials, and debris, backfilling, com { �.
paction ,and placing permanent resurfacing and/or replacing improvements) �.•
Inconsideration of the granting of this permit, the applicant hereby agrees to:
Indemnify,• defend and; save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or, damage toypersons or property
happening or.occurring*as a proximate result of any work undertaken under the permit granted'pursuant to this 'application.
Notify theAdministrative Authority at least twenty-four (24) hours in advance -off th time when work will be started. , �n --•
Comply with, all applicable City Ordinances, the terms and conditions of the hermit n II applicable rule /end regulations of the City of,. '
L''Quinta and to pay for any additional replacement necessary as the resu l /of ork.
in ure of plican Agent
St nc A.rrii4Ak npv 'PA T n n 117 0rp-!gmn yr,
P ..r, _ 422t�2 �.
Name of Applicant (please print) Business Address ., Telephone No;:'
'
"Ram. TAhn. Mnl s�ticghl in Al 4-15";—RI-57 '
` „Name of Contractor and Job Foreman Business Address, _ Telephone No.
Contractor's License No. City Business License No.
82 ,i.0 0401,02-28-91 .i0
Applicant's Insurance Company. Policy.Numbe .t ! L 1 "+v
.FEES: `Subdivision Improvement Permit —Class III
PPrivate improvements:3% of estimated construction costs ublic improvements:, 3% of estimated construction costs
-1-0- 2 m
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 20.00 PERMITVALIDATION
Permit Fee 10.00 1022
PERMIT NO.
Penalty
Cash Deposit -Surety Bond
if. required
TOTAL: $ 30.000
Receipt No.
Received by Date
DATE APPROVED 7-7R—G1
EX P IRATI �DATE. 2-28-91
� o
DATE I SU 2--28-91
By
Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this form constitutes an
encroachment permit
ra.•,� . �-.:..•tet r��;-,'�`"""s; ��i..+w„y,..,�.,,,..y�e�..�;,,
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the/construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit— Class III
DATE: 2-28-91 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 54-190 and 54=200 RAMIREZ
I ,
(Street address on Description of Location)
PURPOSE OF CONSTRUCTION DRIVEWAY APPROACH Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION attach is a copy of Riverside
Bounty standard no. 207
DIMENSION OF INSTALLATION OR REMOVAL concrete driveway approach
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF•COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including 'removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing, improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
4
Indemnify,•defend and save the City, its authorized agents, officers, representatives and employees,. harmless from and against any and all
penalties, liabilities or loss resulting from claims or : court action and arising;out •of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work, undertaken_ under, the permit granted pursuant to this application.
Notify the'Administrative Authority at least twenty-four (24) hours in, advance ofAhe time when work will be started.
Comply with all applicable City Ordinances, the terms and.conditions of the permit<annd all app) c b rules and regulations of the City of_
La Quinta and to pay for any additional replacement necessary as the result/of thI work.
//Si//92a ure of A•pplican • r Agent
Stonecreek Dev: @® Inc 127'Oregon gr.P. 92262
Name of Applicant (please print) Business Address r Telephone No.
Same .T�hn Mclaiilarhlin 619-325-8357
Name of Contractor and �q�„F� g� — Business Address Telephone No.
Contractor's License No. City Business License No. ,
iy
00!682 � 0 04U-02-28-91 . _ -40
Applicant's Insurance Company Poli6y'NurA6Tr}n
FEES:• Subdivision Improvement Permit — Class III
Public improvements: 3% of estimated construction costs 1 0 r�
Private improvements: 3% of estimated construction costs I
Minor Improvement Permit — Class. IV: See attached schedule
Inspection Fee $
Permit Fee 10.00
Penalty
Cash Deposit -Surety. Bond
if required
TOTAL: $ 30.000,•:x- a �.
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
Q::�i?8"vsV+1'i:+inz« .m xsiq}'...f..tie�`?S-,!.,� •
1022
PERMIT NO.
DATE APPROVED
2-28-91
EXPIIOIU�DATE
2-2@-91
4%f ,•R�tF,
DATE SUED . -'
-
2 28 91
By
Administrative Authority
TELEPHONE:..(619) 564-2246
Q::�i?8"vsV+1'i:+inz« .m xsiq}'...f..tie�`?S-,!.,� •
NOTE:
With proper validation ti
this form constitutes an F
x
encroachment permit CITY OF, LA QUINTA'
-' =-APPLICATION; FOR PERMIT 89
f ,.'-PUBLIC WORKS CONSTRUCTION. (ENCROACHMENT)'c5,
For the, construction`. of public or private .curbs; driveways; ,pavements; sidewalks, -parking lots, sewers, watermains
and other like public -works improvements in connection',with MINOR.IMPROVEMENTS and APPROVED SUBDIVISIONS
• ° z,Subdivision Improvement Permit - Class III
DATE: °� �' 7 � ^ ' -Minor Improvement Permit Class IV
,_�l
LOCATION OF CONSTRUCTION /,'s'! iC47�7!'!C'��/" �y/.ray`-,� '' �/� '
(Street address or Description of Location)
PU OSE OF CONSTRUCTI Sketch (attach construction plans if appropriate)
` DESCRIPTION OF ONSTRUCTION.
DIMENSION OF INSTALLATION OR REMOVAL.*,
SIZE OF'EXCAVATION, jF NEEDED"
APPROXIMATE TIME WHEN WORK WILL BEGIN:
APPROXIMATE TIME OF COMPLETION. -3
'ESTIMATED CONSTRUCTION COST
(Including removal of all obstruction, materials, and debris, backfilling; com
pactinn,and placing. permanent'resurfacing and/or,replacing improvements►v-
In consideratiori 6f*the granting of this permit, the applicant hereby agrees,to:.
Indemnify,' defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against'any and all
penalties,, liabilities or loss+resulting'from•claims or court action and,arising,out of any accident, loss or damage to persons or„property
happening or'occurring as a proximate result of any work' undertaken under the permit granted pursuant to this'application.
Notify the Administrative Authority at,least twenty-four (24) hours_ in. advance of the time when work•will be started. .t
Comply with all applicable City Ordinances, the terms and conditions off the permit and all applicable rules and regulations of the City of
La Ouinta and to pay'for any additional replacement necessary as the result of this work. ,
Signature of Applicant or Agent,
Nam of Applicant (please print), Business Address Telephone No.
Name of.Contractor a o Foreman Business Address ”' Telephone.No. {
Contractor's License No. City Business -License No.
Applicant's Insurance,Company Policy Number ,
FEES: Subdivision Improvement Permit - Class I II. '''
¢ Private improvements: 3% of estimated construction costs
Minor Improvement Permit- Class IV: See attached schedule
Inspection .Fee $
` Permit Fee ' -r
Penalty
Cash Deposit -Surety Bond "
if required
4 TOTAL: ' $ ;
Receipt No.
t
Received by ' Date
Recorded by
" PERMIT VALIDATION
PERMIT N0.
DATE APPROVED
EXPIRATION DATE.
k.
DATE ISSUED
By.
Administrative Authority '
TELEPHONE:. (619)-5642246' .
' 3
With propervalidrtimen _
ti
this form constitutae'an , CITY OF LA. QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC -WORKS CONSTRUCTION, -(ENCROACHMENT)
For the construction, of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains-
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
j r Subdivision Improvement Permit — Class NI
DATE: MinoorII r Improv ant Permit CIV
LOCATION OF CONSTRUCTION -- `� �'� `v"y�'U'
{Street address or Description of Loationl 1 `
PURP OF RU N G j' Sketch lattach construction pians if approprinut
DESCRIPTION OF ONSTRUCTION L-"
DIMENSION OF INSTALLATION OR REMOVAL
}
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
(including removei'of all'obatruction, materials, and debris, backfilling, Com-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this. permit, the applicant hereby agrees to: .�
indemmfv, defend and saw the City, its authorized agents, officers, representatives and employees, harmless from and against env and NI
penalties. liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to penwn>s or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
Comply with all appiiable City Ordinencas, the term and conditions of the permit and all spplieabie rules and regulations of the City of
La Quina and to pav for any additi irim • reviaceimitt necessary as the remit of this work.
Signature of Applicant Agent
Name of Applicant (please print) ' Business Address �� : _3= e hone No. ,
Name of Contractor an ob"Foreman ) Business Address Telephone No.
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I `
Public improvements: 3% of estimated construction costs t l
Private improvements: 3% of estimatid construction costs *T0
Minor Imarovement Permit — Class IV: See attached schedule lr
Inspection Fee S I PERMIT VALIDATION
Permit Fee
PERMIT ti0:
Penalty
' Cash Deposit -Surety Bond'
DATE APPROVED
if required EXPIRATION DATE
TOTAL: $ DATE ISSUED
Receipt No. 8y
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 664-2246
.+y Y ;a+�.e R'.ef, * 'y . +• :�'' _ f •.yTM'' x Y~ . ��• .r ^ . •- S,•.f...- .i�
Y, ' ° •': tt ; With proper validation '•r' ' e' •,' u ; r"". Q4
• • + ' this form constitutes an, c.
- ' ' CITY OF 'LA QUINTA - -
4 encroachment permit , .4
.L9 ,j.+' k�r�
APPLICATION FOR `PERMIT
"! . ;PUBLIC .WORKS CONSTRUCTION (ENCROACHMENT) oS ;
For the .cwnstruction of public or, private curbs,'. driveways, pavements, sidewalks, .parking lots, sewers, water. mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class III,
2-28-91-
� DATE: " r Minor. Improvement Permit Class IV
j' LOCATION OF_CONSTRUCTION 54-190. and: 54-200 RAMTREt"
s (Street address or Description of Location)
DRIVEWAY. APPROACH appropriate)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if a
_F11R S F D -
i ' DESCRIPTION OF CONSTRUCTION
�. f attach. is ,a copy'of.,River'side
County r'standard no. ,207. {- -
` DIMENSION OF INSTALLATION OR REMOVAL `
!, concrete driveway ,approach
SIZE OF EXCAVATION, IF NEEDED'
APPROXIMATE.TIME WHEN WORK WILL BEGIN 2-27 11+
y APPROXIMATE TIME OF COMPLETION
` ESTIMATED CONSTRUCTION COST $,
(Including removal of all obstruction, materials, and debris, backfilling, com ?
paction and placing. resurfacing and/or. replacing improvements) '
° `�� • , in consideration of the granting of this,permit, the applicant hereby agrees to: `• '
fw r o j Indemnify;defend and save the City, its authorized agents, officers, representatives'and employees, harmless from and against any and all I
penalties, liabilities or, loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant 'to this application. ; -
'> Notify the Administrative'Authority at least twenty-four (24) hours in advance o time when _work will be started. • .
Comply with all applicable: City Ordinances, the terms and conditions of the rmi all app)' le rul d regulations of the City of -
I La Quints and to pay for any additional replacement necessary as the resul of ork. i
s r R _ \..
? r A ~ c ure of plican r Agent
2 02e
Name of Applicant (please print) Business Address Telephone No.
_ camr� Tnitn-.Mr•'l.att{3}t] i'n` • r,7 9-325=8357
"E • Name of Contractor and Job Fore- _ Business Address Telephone No.
Contractor's *License No. �.,' y. City Business License No.
YApplicant's Insurance Company Poli Nu
= FEES: Subdivision Improvement Permit —Class III
;
Public improvements: 3% of estimated construction costs �, : t +
Fc 1.022
�t. +,, Private improvements: 3% of estimated construction costs
..
Minor Improvement Permit —Class IV: See attached schedule y ,� T:.;# • _ r
f • 20::00 t w ,
Inspection Fee t$ ., PERMIT VALIDATION
} Permit Fee' ` 10..00 p. 1022 4
.T , PER N0.
' Penalty
Cash Deposit-Surety% Bond 4' DATE APPROVED
i' V.
�. if required t; E IRA DATE 2-29=91
TOTAL: $ 30..000 �_. 2-28-91 t
+ i r r DATE
t Receipt No.
i•e By
Received by Date' Administrative t ;
' Recorded by �'' t t TELEPHONE: (619) 564.2246